Welcome to the Kyabram Club, where good friends meet
Welcome to the Kyabram Club wesbite where we aim to provide a friendly and helpful service to our entire community.
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Membership Application
 
ABN: 63 911 328 381

Surname:

First Name:

Title:

Mr Mrs Miss

Preferred Name:

Street Addresss:

Town:

Post Code:

State:

Country:

Occupation:

Date of Birth:

Email:

Phone Number:

Over 18 years of age?

Yes No

I certify that I am over 18 years of age and agree to be bound by Memorandum and Articles of Assoication of the Club and the By-laws and Rules made there under.

Please initial

Please enter full name, and membership number of the club memer that propose and second your application.

Proposer Name:

Proposer Member Number:

Seconder Name:

Seconder Member Number:

ID Check (Driver Liscence Number):

Please enter your message:

Please tick if you do not wish to receive direct mail promotional material from Tattersalls Gaming P/L and the Kyabram Club Inc.:

Applicants, please note your membership application could take up to 4 weeks

Privacy Laws - Members details will not be issued to any outside agencies without the individuals consent
 
 
 
Please see below our online access options for dining reservations, function bookings or to become a Kyabram Club member.
We want you, to work at the Kyabram Club. Short of time? Make your reservations online here. Want to become a member of the Kyabram Club? Click Here...
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